1977, 04-06 Permit App: M1233 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #6
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS>>LINE
Address =' �5 .6 -i %= Phone
Address /174.4y,1) EA .„2.,A/3. Phone
Address �d ?6 Phone
Address Phone
Name of Owner
Architect
Engineer
Contractor
77 2 -
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
ler / f c EJr /
/o r��� �,= �y z.cc7- .2/
DESCRIPTION OF WORK: New ALL— Addition Remodel
Size of Lot /b 2 ' x /
�!J/.Y
Stories Dimensions o a 4Total
Rooms 6 Baths -2 Basement �u. // Foundation Const (' 0 i2/a T
(Full, part, no n' )
Heat. System t" -c-/ h7 Type of Roofing ____C:4•V Ext. Finish (..i./2.10 1 /'
Moving Bld
Sewage System
Use of Bldg.
PLOT PLAN
. Zone Fire Zoge3
onst. �. .t1"i--G
(Fr., Conc., Br., etc.) d ,
Sq. Ft -2/,P-7 Valuation 'iV.'✓,`
—
Chimney ind)G Fireplac Number
Int. Wall Finish v)f-17 -11////
No. of Units 2Bedrooms
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
/7,
SOUTH SOUTH
I hereby certify in tion su6blitted is correct and there
as shown.
.rte, -,2
an
are no other
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit 7 zF
Heating Permit 6�1J� i1/ ',
Sewage Permit . j ✓� '
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
-741-4,tz DO NOT WRITE BELOW THIS LINE
Your street address will be f if G :�
Sewage Permit Number Issued
Remarks
7 z»77
Date
CONSTRUCTION COMMENCES.
Building Permit
The zone ism!-C��
Receipt $'S 7D Issued
r,
4
Form 523 Bldg. Code
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